Individual
HEATHER L. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3605 STEWART AVE, WAUSAU, WI 54401-4938
(715) 847-3796
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11268-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11268-24
WI STATE LICENSE
WI
Enumeration date
06/22/2009
Last updated
09/26/2023
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